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NPI Code Detail

MEDICARE: DR. PAUL D HEILBORN MD

MEDICARE: DR. PAUL D HEILBORN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301052971MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841296332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL D HEILBORN MD
Provider Business Mailing Address
First Line : 2424 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-2748
Country : US
Telephone Number : 517-787-0500
Fax Number : 517-787-1555
Provider Business Practice Location Address
First Line : 2424 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-2748
Country : US
Telephone Number : 517-787-0500
Fax Number : 517-787-1555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/11/2009

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Directions to “ DR. PAUL D HEILBORN MD” Practice Location

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